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#4053 of 11K

92592

HCPCS Procedure Code

HCPCS code 92592 is the #4,053 most-billed Medicaid procedure code, with $892K in payments across 38K claims from 2018–2024. The national median cost per claim is $15.16. Costs vary widely — the 90th percentile is $68.18 per claim, 4.5× the median.

Total Paid

$892K

0.00% of all spending

Total Claims

38K

Providers

65

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for 92592? Based on 61 providers billing this code nationally.

Median

$15.16

Average

$28.63

Std Dev

$30.75

Max

$184.92

Percentile Distribution (Cost per Claim)

p10
$8.18
p25
$12.40
Median
$15.16
p75
$36.83
p90
$68.18
p95
$88.41
p99
$135.86

50% of providers bill between $12.40 and $36.83 per claim for this code.

90% bill between $8.18 and $68.18.

Top 1% bill above $135.86.

About This Procedure

HCPCS code 92592 was billed by 65 providers across 38K claims, totaling $892K in Medicaid payments from 2018–2024. This code was used for 30K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$15.16

Providers Billing

61

National Spending

$892K

Avg/Median Ratio

1.89×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 92592

#ProviderTotal Paid
11548222821$114K
21003866047$79K
31225355860$73K
41871606764$70K
51093466088$62K
61417078056$62K
7Johns Hopkins All Children's Hospital Inc

St Petersburg, FL · General Acute Care Hospital Children

$52K
8Baltimore City Schools

Baltimore, MD · Local Education Agency (LEA)

$43K
91710936836$38K
101902865355$38K
11Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$35K
121992753578$26K
131689023699$25K
141659681823$24K
15Children's Hospital

Washington, DC · General Acute Care Hospital Children

$15K
161639101751$13K
17District Medical Group, Inc

Phoenix, AZ · Anesthesiology

$12K
181881964849$11K
191477604791$11K
201821119314$10K

Showing top 20 of 65 providers billing this code